| Dr Evan Cichelli, DPM | |
|
5800 Ridge Ave, Philadelphia, PA 19128-1737 | |
| (706) 338-4344 | |
| Not Available |
| Full Name | Dr Evan Cichelli |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 16 Years |
| Location | 5800 Ridge Ave, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891002572 | NPI | - | NPPES |
| 455128844 | Other | PA | GROUP TAX ID |
| 1029003330001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | SC006109 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Abington Health Lansdale Hospital | Lansdale, PA | Hospital |
| Abington Memorial Hospital | Abington, PA | Hospital |
| Grand View Hospital | Sellersville, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Independence Foot And Ankle Associates Llc | 7214191774 | 8 |
| Provider Name | Independence Foot And Ankle Associates Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1013275924 PECOS PAC ID: 7214191774 Enrollment ID: O20120613000154 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Evan Cichelli, DPM 308 Lodge Rd, Philadelphia, PA 19128-4417 Ph: (706) 338-4344 | Dr Evan Cichelli, DPM 5800 Ridge Ave, Philadelphia, PA 19128-1737 Ph: (706) 338-4344 |
Regina Snow, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5800 Ridge Ave, Philadelphia, PA 19128 Phone: 215-487-4284 | |
Josephine Depalma Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2706 N 5th St, Philadelphia, PA 19133 Phone: 215-425-5060 Fax: 215-483-9679 | |
Ms. Jennifer Chang - Ching Van, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 148 N 8th St, Philadelphia, PA 19107 Phone: 215-777-5808 Fax: 215-777-5825 | |
Dr. Shaun M Latshaw, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8835 Germantown Ave, Philadelphia, PA 19118 Phone: 610-428-2427 | |
Dr. Noah Jan Goldman, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 7919 Verree Rd, Philadelphia, PA 19111 Phone: 215-742-8383 | |
Dr. Victoria M. Adeniran, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 5800 Ridge Avenue, Philadelphia, PA 19128 Phone: 215-483-9900 | |
Debbie Park, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 5800 Ridge Ave, Philadelphia, PA 19128 Phone: 215-483-9900 |